1. Autophagy is the main driver of radioresistance of HNSCC cells in mild hypoxia.
- Author
-
Hill RM, Li C, Hughes JR, Rocha S, Grundy GJ, and Parsons JL
- Subjects
- Humans, Cell Line, Tumor, Hypoxia-Inducible Factor 1, alpha Subunit metabolism, Hypoxia-Inducible Factor 1, alpha Subunit genetics, Beclin-1 metabolism, Beclin-1 genetics, Head and Neck Neoplasms radiotherapy, Head and Neck Neoplasms genetics, Head and Neck Neoplasms pathology, Head and Neck Neoplasms metabolism, Membrane Proteins metabolism, Membrane Proteins genetics, DNA Repair radiation effects, DNA Repair genetics, RNA, Small Interfering genetics, RNA, Small Interfering metabolism, Proto-Oncogene Proteins metabolism, Proto-Oncogene Proteins genetics, X-Rays, DNA Breaks, Double-Stranded radiation effects, Tumor Suppressor Proteins, Autophagy radiation effects, Autophagy genetics, Radiation Tolerance genetics, Squamous Cell Carcinoma of Head and Neck radiotherapy, Squamous Cell Carcinoma of Head and Neck genetics, Squamous Cell Carcinoma of Head and Neck pathology, Squamous Cell Carcinoma of Head and Neck metabolism, Cell Hypoxia genetics
- Abstract
Hypoxia poses a significant challenge to the effectiveness of radiotherapy in head and neck squamous cell carcinoma (HNSCC) patients, and it is imperative to discover novel approaches to overcome this. In this study, we investigated the underlying mechanisms contributing to x-ray radioresistance in HPV-negative HNSCC cells under mild hypoxic conditions (1% oxygen) and explored the potential for autophagy modulation as a promising therapeutic strategy. Our findings show that HNSCC cells exposed to mild hypoxic conditions exhibit increased radioresistance, which is largely mediated by the hypoxia-inducible factor (HIF) pathway. We demonstrate that siRNA knockdown of HIF-1α and HIF-1β leads to increased radiosensitivity in HNSCC cells under hypoxia. Hypoxia-induced radioresistance was not attributed to differences in DNA double strand break repair kinetics, as these remain largely unchanged under normoxic and hypoxic conditions. Rather, we identify autophagy as a critical protective mechanism in HNSCC cells following irradiation under mild hypoxia conditions. Targeting key autophagy genes, such as BECLIN1 and BNIP3/3L, using siRNA sensitizes these cells to irradiation. Whilst autophagy's role in hypoxic radioresistance remains controversial, this study highlights the importance of autophagy modulation as a potential therapeutic approach to enhance the effectiveness of radiotherapy in HNSCC., (© 2024 The Author(s). Journal of Cellular and Molecular Medicine published by Foundation for Cellular and Molecular Medicine and John Wiley & Sons Ltd.)
- Published
- 2024
- Full Text
- View/download PDF